| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.99 | $34.99 | $38.27 | |
Cigna
| Professional | $30.52 | $30.52 | $30.52 | |
Martin's Point
| Professional | $34.99 | $34.99 | $38.27 | |
Priority Health
| Professional | $30.52 | $30.52 | $30.52 | |
United
| Professional | $37.04 | $43.22 | $46.00 |